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巨大嗅沟脑膜瘤的显微外科治疗(附17例报告) 被引量:1

Microsurgical treatment of giant olfactory groove meningiomas(reports of 17 cases)
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摘要 目的探讨巨大嗅沟脑膜瘤的手术治疗效果。方法分析我院神经外科自2000年2月~2005年2月利用显微外科技术切除17例巨大嗅沟脑膜瘤的临床资料。结果肿瘤全切除(SimpsonⅠ、Ⅱ级切除)15例,占88.2%;次全切除(SimpsonⅢ级切除)2例,无手术死亡病例。术后随访14例,平均20个月。11例恢复了正常生活,3例生活能自理。MRI随访12例均无复发。结论利用显微外科技术,选择合适的手术入路,对肿瘤进行分块切除治疗巨大嗅沟脑膜瘤疗效满意。 Objective To explore the effect of microsurgical therapy on giant olfactory groove meninglomas. Methods 17 cases of giant olfactory groove meningiomas treated in our hospital by microsurglcal skill from Feb 2000 to Feb 2005 were retrospectively reviewed . Results The tumol's were totally removed(simpson Ⅰ or Ⅱ ) in 15 patients (88.2%)and subtotally resected(simpson Ⅲ) in 2 cases,no patient died in this series. 14 cases were followed up for twenty months on average.ll cases renewed normal life ,3 can take care of themselves. 12 cases were followed up with MRI , no tumor recldivation presented. Conclusion Using microsurgical techniques and choosing suitable surgical approach,the curative effect of the patient with giant olfactory groove meningioma could be satisfactory when the tumor was removed piece by piece.
出处 《江西医药》 CAS 2005年第11期697-698,共2页 Jiangxi Medical Journal
关键词 巨大 嗅沟脑膜瘤 显微外科技术 giant olfactory groove meningioma, microsurgical techniques
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  • 1Tsikoudas A,Martin-hirsch DP.Olfactory groove meningiomal.Clin Ot Olarynogol,1999,24(6):504.
  • 2郑伟明,瞿宣兴,钟鸣,吴近森,诸葛启钏,鲁祥和.颅底脑膜瘤的显微外科治疗[J].中华外科杂志,2000,38(6):429-431. 被引量:13
  • 3赵雅度,王硕.嗅沟脑膜瘤[J].中华神经外科杂志,1992,8(4):349-352. 被引量:27
  • 4Turazzi S,Cristofcri L,Gambin R,et al.The pterional approach for the microsurgical removal groove meningiomas.Neurosurgery,1999,45 (4):821.

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